Savannah State Athletics

TIGER FOOTBALL QUESTIONNAIRE

Phone: (912) 353-4976
FAX: (912) 353-5287
Robby Wells, Head Football Coach

Personal Information
Last Name:		First Name:
Middle Name :
Name you wish to be called (if other than your first name):
Home Address:		City:
State:		Zip Code:
* Email Address:		Date of Birth:

Father's Name:		Mother's Name:
Occupation:		Occupation:
Work Phone Number :		Work Phone Number :
Phone Numbers/Top 3 College Choices
Home Phone:		Cell Phone:
School Phone:		Coach's Office Phone:
List Your Top 3 College Choices
1.
2.
3.
Football Information
High School Name:
Head Football Coach:		Jersey #:
Position You Play Offense:		Defense:
Height:		Weight:
40 Time:
List Any Injuries You Have Had:
Other Sports You Play: :
Athletic Honors:

Planned Course Of Study In College:
SAT scores (PSAT if you have not taken SAT):
Verbal:		Math:
ACT:
GPA:		Grad Year:
Have you registered with the NCAA Clearinghouse?		Yes No
Anything you would like us to know about yourself:

Savannah State University Football Office has permission to receive a copy of my high school transcript which includes test scores.
* Initials:		Date:


* required field

baseball